Visits & medical services prices at Cheshire Medical Center

Keene, NH · every code in this section with a posted price and a Medicare benchmark.

170 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $73.97 $268 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $52.16 $189 3.6×
Application on-body injector (96377) $55.48 $201 1.1×
Assessment of aphasia per hr (96105) $95.50 $346 1.0×
Bedside Swallowing Eval (92610) $206.45 $748 2.4×
Behavioral and qualitative analysis of voice and resonance (92524) $101.02 $366 0.9×
Breath Hydrogen/Methane Test (91065) $217.21 $787 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $284.28 $1,030 0.7×
Canalith Repositioning Procedure (95992) $37.54 $136 0.9×
Car seat/bed test 60 min (94780) $62.38 $226 1.6×
Cardiac Stress Tst,Tracing Only (93017) $329.27 $1,193 1.4×
Cardiopulmonary resuscitation (92950) $234.60 $850 1.0×
Cardioversion (92960) $671.78 $2,434 1.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $17.66 $64 0.7×
Cbt 1st hour (94644) $146 $529 1.0×
Chemo Admin Peritoneal Cavity (96446) $193.48 $701 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $61.27 $222 0.8×
Chemo IV push addl drug (96411) $94.39 $342 1.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $323.75 $1,173 0.9×
Chemother, IV infusion, 1 hr (96413) $277.10 $1,004 0.8×
Chemother, IV infusion, ea add hr (96415) $65.69 $238 0.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $84.18 $305 1.1×
Chemotherapy into cns (96450) $330.10 $1,196 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $115.64 $419 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $144.62 $524 0.4×
Color/duplex Doppler, complete (93975) $227.42 $824 0.9×
Color/duplex Doppler, limited (93976) $208.66 $756 1.9×
Cpap/bipap (94660) $167.81 $608 0.7×
Cpt initial (94667) $100.74 $365 0.7×
Critical care (99291) $1,057.91 $3,833 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $97.70 $354 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $346.66 $1,256 1.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $125.03 $453 1.1×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $285.94 $1,036 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $484.38 $1,755 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $323.47 $1,172 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $321.82 $1,166 2.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $261.65 $948 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $167.81 $608 1.5×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $361.28 $1,309 1.4×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $174.16 $631 1.6×
Duplex scan extracranial art compl bi study (93880) $639.77 $2,318 2.5×
Duplex Scan Hemodialysis Access (93990) $247.30 $896 2.2×
Echo Heart Xthoracic,Limited (93308) $292.84 $1,061 1.1×
Echo transesophageal (93312) $500.66 $1,814 0.9×
Echo Transesophageal - Congenital Tee Complete (93315) $544.82 $1,974 0.9×
EEG awake and asleep (95819) $319.61 $1,158 1.4×
EEG awake drowsy (95816) $239.02 $866 1.0×
EEG coma or sleep only (95822) $230.46 $835 1.0×
EEG cont rec w/video by tech min 8 channels (95700) $390.26 $1,414 1.7×
EEG greater than 1 hour (95813) $291.46 $1,056 1.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $265.24 $961 1.2×
Electrocardiogram Tracing (93005) $101.84 $369 1.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $230.74 $836 1.0×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $5,184.94 $18,786 0.6×
Ep Analyze Pacer Sys (93724) $90.80 $329 0.3×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,434.37 $5,197 1.1×
Er level 1 (99281) $95.22 $345 1.1×
Er level ii (99282) $163.67 $593 1.0×
Er level iii (99283) $285.38 $1,034 1.0×
Er level IV (99284) $461.75 $1,673 1.0×
Er level v (99285) $616.03 $2,232 1.0×
Eval speech sound production (92522) $83.90 $304 0.7×
Eval to use/fit voice prosth (92597) $68.17 $247 1.0×
Evaluate Pt Use Of Inhaler (94664) $73.97 $268 0.3×
Evaluation of speech fluency (92521) $103.50 $375 0.8×
External ECG rec>48hr<7d recording (93242) $59.06 $214 1.5×
External ECG rec>7d<15d recording (93246) $96.60 $350 2.4×
External Ecg Scanning Analysis Report (93226) $408.20 $1,479 6.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $59.89 $217 0.3×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $89.42 $324 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $919.36 $3,331 1.0×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $962.69 $3,488 1.0×
Gi tract capsule endoscopy (91110) $962.69 $3,488 1.0×
Group Therapeutic Procedures (97150) $54.37 $197 3.0×
Holter Monitor (93225) $239.57 $868 1.7×
Imm admn sarscov2 vaccine single dose (90480) $84 $84 1.9×
Immunization Admin (90471) $23.18 $84 0.3×
Inhalation bronchial challenge testing (95070) $171.40 $621 0.4×
Injection intra arterial (96373) $65.14 $236 0.3×
Interrog dev eval scrms phys/qhp in person (93291) $56.86 $206 1.8×
Interrog device eval heart (93289) $25.67 $93 0.6×
Iontophoresis 15 min (97033) $52.16 $189 2.7×
Irrig drug delivery device (96523) $42.50 $154 0.7×
IV infusion hydration each additional hour (96361) $33.67 $122 0.7×
IV infusion hydration initial 31 min-1 hour (96360) $216.38 $784 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $57.68 $209 0.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $216.38 $784 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $33.67 $122 0.7×
IV push ea addl new drug (96375) $89.70 $325 1.8×
IV push initial (96374) $83.08 $301 0.4×
Manual therapy 15 min (97140) $52.16 $189 1.9×
Massage 15 min (97124) $52.16 $189 1.8×
Mechanical traction (97012) $52.16 $189 3.6×
Methacholine challenge (94070) $373.70 $1,354 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $227.15 $823 2.5×
Nasopharyngoscopy (92511) $97.15 $352 0.5×
Nerve Conduction Studies 3-4 Studies (95908) $215 $779 0.9×
Newborn resuscitation (99465) $515.84 $1,869 0.7×
Nitric oxide expired gas determination (95012) $50.51 $183 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $217.21 $787 1.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $134.69 $488 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $59.06 $214 1.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $52.16 $189 1.6×
Ot Contrast Bath Ea 15 Min (97034) $52.16 $189 3.7×
Ot eval high complex 60 min (97167) $206.45 $748 2.1×
Ot eval low complex 30 min (97165) $206.45 $748 2.1×
Ot eval mod complex 45 min (97166) $206.45 $748 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $52.16 $189 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $52.16 $189 1.3×
Ot re-evaluation (97168) $102.95 $373 1.5×
Ot therapeutic activity 15 min (97530) $54.65 $198 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $118.40 $429 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $48.85 $177 0.4×
Paraffin bath pt (97018) $52.16 $189 8.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $146 $529 0.6×
Phlebotomy therapeutic (99195) $47.20 $171 0.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $55.75 $202 0.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $55.75 $202 0.9×
Plethysmography (94726) $319.61 $1,158 0.8×
Pm device eval in person (93288) $28.15 $102 0.7×
Pm device progr eval dual (93280) $53.82 $195 1.4×
Pm device progr eval multi (93281) $104.05 $377 2.6×
Pm device progr eval sngl (93279) $52.44 $190 1.3×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $181.61 $658 4.6×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $30.36 $110 0.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $32.29 $117 0.8×
Pt Aquatic Therapy/Exercises (97113) $66.52 $241 1.8×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $26.22 $95 0.7×
Pt Electrical Stimulation (97032) $52.16 $189 3.5×
Pt eval high complex 45 min (97163) $206.45 $748 2.1×
Pt eval low complex 20 min (97161) $206.45 $748 2.1×
Pt eval mod complex 30 min (97162) $206.45 $748 2.1×
Pt gait training 15 min (97116) $52.16 $189 1.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $52.16 $189 1.6×
Pt Physical Performance Test (97750) $52.16 $189 1.5×
Pt re-evaluation (97164) $102.95 $373 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $52.16 $189 1.6×
Pt Whirlpool Therapy (97022) $52.16 $189 3.3×
Pulm function test by gas (94727) $70.38 $255 0.3×
Pulmonary Service/Procedure (94799) $128.34 $465 0.9×
Pulmonary stress test simple (94618) $133.03 $482 0.9×
Refill/Maint Portable Pump (96521) $235.15 $852 1.0×
Right heart cath (93451) $3,032.14 $10,986 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $98.26 $356 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $64.31 $233 0.5×
Sensory Integration Ea 15 Min (97533) $52.16 $189 0.9×
Slp caregiver training 1st 30 min (97550) $36.43 $132 0.7×
Speech sound lang comprehen (92523) $200.65 $727 0.9×
Spirometry (94010) $116.75 $423 0.5×
Standardized Cognitive Performance Testing (96125) $122.27 $443 1.2×
Stress echo (93350) $954.41 $3,458 1.6×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $320.99 $1,163 1.4×
Subcutaneous Infusion Each Additional Hour (96370) $63.20 $229 1.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $52.16 $189 2.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $52.16 $189 2.5×
Therapeutic prophylactic/dx injection subq/im (96372) $63.76 $231 0.8×
Tte w/doppler, complete (93306) $834.07 $3,022 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $89.70 $325 1.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $43.33 $157 1.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $105.98 $384 1.3×
Upr/lxtr art stdy 3+ lvls (93923) $483.28 $1,751 2.1×
Vasc Duplex Scan Extracranial,Limited (93882) $408.20 $1,479 3.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $234.88 $851 1.0×
Vasopneumatic device (97016) $113.99 $413 9.5×
Veeg 2-12 hr unmonitored (95711) $265.24 $961 1.2×
Vent mgmt inpat init day (94002) $540.41 $1,958 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $540.41 $1,958 0.8×
Vital capacity, total (94150) $63.48 $230 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $54.65 $198 1.8×